Antihypertensives - mhando uye nzira chikumbiro

zvinodhaka Antihypertensive zvinoshandiswa zviitiko apo unofanira kuderedza neBP yako. It kunowedzera muna neBP, uyewo symptomatic neBP. Zvichienderana kwavo mashandiro chiito zvose zvinodhaka izvi zviri rakakamurwa vasodilators antiadrenergic zvinoreva, angiotensin II mhandu, karusiyamu gwara blockers uye diuretics.

Antihypertensives - kupatsanura zvinodhaka

Antiadrenergicheskim yomuchipatara kushanda migumisiro avo tsitsi tsinga, iri zvinodhaka "Clonidine" uye "Methyldopa". zvinodhaka izvi chokuita musimboti tsinga receptors uye nokudaro kuti zvinoderedza dzvinyiriro, kutapudza kwemwoyo. Uyewo, mishonga iyi antihypertensive kuderedza uwandu yeplasma renin, vane kunyaradza chaizvoizvo, asi drawback yavo kukwanisa varambe yavaibvisa uye mvura. Kana atora pamwe diuretics, mugumisiro zvichava nani zvikuru. Sezvo reserpine zviri nani kwete kutora, kuti varege kukonzera hope uye kuora mwoyo. vanhu vakura vanofanira kuva vasingafariri kubvuma mari izvi, uyewo zvibvire chidzoke mwoyo uye collaptoid inoti. Kana chiri kukanzura kugamuchira methyldopa uye clonidine, zvaitwa zvishoma nezvishoma.

By ganglioplegic zvinosanganisira zvinodhaka "benzogeksony", "Pentamin". Ivo adzikatidza tsitsi uye parasympathetic ganglia. Sezvo mashoko antihypertensives ichivharira parasympathetic zvinoriumba, zvingakonzera nduru dundira paresis, panowanikwa muromo yakaoma, kusabetsera. Mushure jekiseni, murwere areve nhema pasi kweinenge 2 maawa, akamutsa musoro wake, zvinokosha kuti kudzivirira orthostatic hypotension.

By postganglioblokatoram zvinosanganisira mishonga yakadai se "oktadin", "Raunatin", "reserpine". Kana uri kushandisa mushonga "reserpine", zvainoita rinovapo kwevhiki dzinoverengeka. Zviri nani kutora ane diuretic, saka zviri rakaramba muviri mvura uye yavaibvisa. Medicine "Raunatit" anotipa antiarrhythmic mugumisiro kunyange pashure kwokubatsira mushonga anogona kuitika nasal kuzara uye hope.

Antihypertensives akadai Alfa-blockers, chiito nokukurumidza uye zvishoma, saka vari kazhinji rakaiswa pamusoro panowanikwa munhu vane chirwere cheBP dambudziko. Ava zvinodhaka akafanana "Tropafen", "Phentolamine" uye "pirroksan". Pashure kwokubatsira zvinodhaka izvi murwere Zvinokoshawo nhema maawa anopfuura 1.5-2. zvinodhaka izvi zvinogona kukonzera dzungu, tachycardia, kuvaviwa, kuzvimba nasal mucosa, kurutsa uye manyoka. Havagoni kubvuma pamberi coronary tsinga chirwere, chepfungwa kweropa zvirwere uye mwoyo nokukundikana.

Beta-blockers kuderedza kwemwoyo uye une kunyaradza, antiplatelet uye vasodilatory maturo. Izvi antihypertensives vabudirire panguva yakakwirira systolic BP.

Vasodilators akakamurwa venous uye arteriolar. Vamiririri arteriolar kugadzirira vari "Minoxidil", "Diazoxide", "Apressin". Venous uye arteriolar yavaibvisa dilator pashure intravenous Kutarisirwa ane mucherechedzo nomugumisiro kubva pane kuwedzera peripheral vascular peripheral nemishonga ipfupi.

Antihypertensive yomuchipatara akadai karusiyamu mhandu (zvinodhaka "fenigidin" "Nifedipine", "Corinfar") kuti kumanikidzwa rutapudzo mukati hafu yeawa pashure yaitonga uye kufadza kushanda ari kuchengetwa neawa uye akaramba kusvikira maawa 6. Mushure mafomu avo akatsvuka maoko, mutsipa uye chiso; zvingakonzera hope, kutemwa nomusoro, kuzvimba makumbo. Haugoni kutora zvinodhaka izvi panguva yepamuviri.

Mukurapa uye kudzivirira zvinokosha neBP vanofanira kuomerera malosolevoy zvokudya, aigara kupa muviri muviri zvine mwero, zvakakwana hope, uye kana pane chikonzero kutora sedatives.